Organization
AHWATUKEE HEALTH CARE, LLC
Active
Other names
Ahwatukee Behavioral Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME BOGOVICH (OPERATIONS MANAGER)
(518) 698-3757
Entity
Organization
Contact information
Practice address
16515 S 40TH ST STE 119, PHOENIX, AZ 85048-0559
(480) 272-8450
(480) 272-8307
Mailing address
16515 S 40TH ST STE 119, PHOENIX, AZ 85048-0559
(480) 272-8450
(480) 272-8307
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2023
Last updated
03/19/2025
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